Organization
GLENSHIRE NURSING REHABILITATION CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY GLENNER (PRESIDENT)
(847) 674-5454
Entity
Organization
Contact information
Practice address
22660 CICERO AVE, RICHTON PARK, IL 60471-1700
(708) 747-6120
(707) 747-6491
Mailing address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 674-5454
(847) 674-8311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
39321
IL
Other
Enumeration date
07/07/2005
Last updated
03/12/2019
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